Individual
ZACHARY MICHAEL WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 UNIVERSITY PLZ, CAPE GIRARDEAU, MO 63701-4710
(573) 651-2000
Mailing address
11 S WALNUT ST, SWEET SPRINGS, MO 65351-1258
(660) 631-1188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018023220
MO
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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